APPLICATION FOR EMPLOYMENT

Our Company is an equal opportunity employer and will consider all applicants
for all positions without regard to their
race, sex age, color, religion, national origin, marital status, disability or
covered veteran status. Double Eagle
Distributing, Inc. is a Drug-Free Workplace.

Job Description:

Warehouse Supervisor

Date:
5/25/2019 9:03:32 AM

Are you applying for a driver position?:

PERSONAL DATA:

Last Name:

First:

Mi:

Home Phone:
numbers only

Cell Phone: numbers only

Email Address:

Present Address:

How Long?
YEARS MONTHS

City:

State:

Zip Code:

IF ABOVE ADDRESS IS LESS THAN 3 YEARS, LIST PREVIOUS RESIDENCES FOR PAST 3 YEARS:

Previous
Address:

How Long?
YEARSMONTHS

City:

State:

Zip Code:

Previous Address:

How Long?
YEARSMONTHS

City:

State:

Zip Code:

Are you at least 18 years of age?:

If applying for a delivery job, Are you at least 21 years of age?

Do you have the legal authorization to work in the United States?

Have you ever been employed with us before?
If yes, date:
mm/dd/yyyy

Have you ever filed an application with us before?
If yes, date:
mm/dd/yyyy

Are there days or times that you can not work?

Can you work overtime if necessary?:

Have you ever been convicted of a felony?
If yes, please identify the crime, date of conviction which you were convicted. Conviction will not necessarily disqualify you
from employment:

Have you ever been terminated or asked to resign from any job?
If yes, please explain circumstances:

Were you referred by a current employee?
If yes, who?

Are you related to current or former employee of Double Eagle Distributing?
If yes, give names/relationship

MILITARY SERVICE RECORD:

Were you in U.S. Armed Forces?
If yes what branch?:

Dates of duty from
to
Rank at discharge:

EDUCATION:

HIGH SCHOOL ATTENDED
CITY/STATE

HIGHEST GRADE COMPLETED HIGH SCHOOL
Graduated?

COLLEGE ATTENDED
CITY/STATE

COLLEGE (YRS)
Graduated?
Area of Study/Degree?

BUSINESS OR TRADE SCHOOL
Area of Study/Degree or Certificate

NAME OF BUSINESS OR TRADE SCHOOL
CITY/STATE

PERSONAL REFERENCESPLEASE LIST PERSONS WHO KNOW YOU WELL - NOT PREVIOUS EMPLOYERS OR RELATIVES

Other - List any other
skills or qualifications acquired through employment or education, such as
computer skills, education, such as
computer skills,
knowledge of specific software programs, technical skills or equipment skills:

EMPLOYMENT HISTORY: (Starting with
your current or most recent). Be sure to account for all periods of time
including military service and any period of unemployment;
if self-employed give firm name and supply business references. Do not leave any
gaps in employment history.All driver applicants must provide the complete mailing address,
street number, city, state, and zip code for preceeding 3 years of employment.
an additional 7 years must be provided
for those positions in which you operated a commercial vehicle.

INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED

PRESENT OR LAST EMPLOYER NAME

EMPLOYED FROM

EMPLOYED TO

LAST POSITION HELD AT THISEMPLOYER

OTHER POSITIONS HELD HELD ATTHIS EMPLOYER

MM/DD/YYYY

MM/DD/YYYY

ADDRESS (STREET/CITY/STATE/ZIP

STARTING PAY:

FINAL PAY:

NAME AND TITLE OF LASTSUPERVISOR

REASON FOR LEAVING

TELEPHONE (INCLUDING AREA CODE)

WERE YOU SUBJECT TO THE FEDERAL MOTOR CARRIER SAFETY REGULATIONS (FMCSR) WHILE EMPLOYEED ABOVE?

PRESENT OR LAST EMPLOYER NAME

EMPLOYED FROM

EMPLOYED TO

LAST POSITION HELD AT THISEMPLOYER

OTHER POSITIONS HELD HELD ATTHIS EMPLOYER

MM/DD/YYYY

MM/DD/YYYY

ADDRESS (STREET/CITY/STATE/ZIP

STARTING PAY:

FINAL PAY:

NAME AND TITLE OF LASTSUPERVISOR

REASON FOR LEAVING

TELEPHONE (INCLUDING AREA CODE)

WERE YOU SUBJECT TO THE FEDERAL MOTOR CARRIER SAFETY REGULATIONS (FMCSR) WHILE EMPLOYEED ABOVE?

PRESENT OR LAST EMPLOYER NAME

EMPLOYED FROM

EMPLOYED TO

LAST POSITION HELD AT THISEMPLOYER

OTHER POSITIONS HELD HELD ATTHIS EMPLOYER

MM/DD/YYYY

MM/DD/YYYY

ADDRESS (STREET/CITY/STATE/ZIP

STARTING PAY:

FINAL PAY:

NAME AND TITLE OF LASTSUPERVISOR

REASON FOR LEAVING

TELEPHONE (INCLUDING AREA CODE)

WERE YOU SUBJECT TO THE FEDERAL MOTOR CARRIER SAFETY REGULATIONS (FMCSR) WHILE EMPLOYEED ABOVE?

PRESENT OR LAST EMPLOYER NAME

EMPLOYED FROM

EMPLOYED TO

LAST POSITION HELD AT THISEMPLOYER

OTHER POSITIONS HELD HELD ATTHIS EMPLOYER

MM/DD/YYYY

MM/DD/YYYY

ADDRESS (STREET/CITY/STATE/ZIP

STARTING PAY:

FINAL PAY:

NAME AND TITLE OF LASTSUPERVISOR

REASON FOR LEAVING

TELEPHONE (INCLUDING AREA CODE)

WERE YOU SUBJECT TO THE FEDERAL MOTOR CARRIER SAFETY REGULA

APPLICANT'S STATEMENTENT APPLICANT'S STATEMENTENT

I understand that, with my authorization, an investigation may be
made whereby information is obtained regarding my character, general reputation,
educational background, previous employment, driving record, and criminal
history. By signing this application, I give authorization to any and all
investigations listed, as well as any additional investigations that may provide
relevant employment information.

I understand that the Company reserves the right to require me to
submit to a drug test at any time and also reserves the right to require me to
submit to an alcohol test and/or medical examination to the extent permitted by
law. I understand that my refusal to do so or my failure on the exam may result
in my immediate termination.

I further understand that the Company may contact my previous
employers and I authorize those employers to disclose to the Company all records
and other information pertinent to my employment with them. I also authorize the
Company to provide truthful information concerning my employment with it to my
future prospective employers and I agree to hold it harmless for providing such
information.

I understand that if hired I will be placed on a ninety day
probation period, I further understand that if I am terminated within the ninety
day probation period, the employer may seek to contest any unemployment benefits
I might attempt to obtain as a result of my termination, in accordance with
Florida Statute # (3) (6). I understand and agree that if employed, the
employment will be "at will". That is either the Company or I may end the
employment relationship at any time, for any reason, or for no reason.
Furthermore, I understand that this application is not an employment contract
for any specific term or position.

I certify that all of the information that I provide on this
application and in any interview will be true and accurate. I understand that if
I am employed and any such information is later found to be false or misleading
in any respect, I may be dismissed.

If I am applying for a commercial driving job, I certify that I
meet all the qualifications of a commercial driver, as required by the
Department of Transportation, 49 CFR 391, and that current or previous employers
will be contacted, for the purpose of investigating my safety and performance
history as required by 49 SFR 391.23